How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $3.72 Median $3.72 Typical High $4.90 | Facility | None | $3.72 | $3.72 | $4.90 |
Aetna Setting Professional Modifier None Typical Low $3.63 Median $3.72 Typical High $4.68 | Professional | None | $3.63 | $3.72 | $4.68 |
Anthem BCBS Setting Professional Modifier None Typical Low $2.95 Median $5.13 Typical High $22.39 | Professional | None | $2.95 | $5.13 | $22.39 |
Anthem BCBS Setting Professional Modifier RR · Rental Typical Low $0.28 Median $0.60 Typical High $2.75 | Professional | RR · Rental | $0.28 | $0.60 | $2.75 |
Anthem BCBS Setting Professional Modifier UE · Used equipment Typical Low $2.19 Median $4.17 Typical High $20.42 | Professional | UE · Used equipment | $2.19 | $4.17 | $20.42 |
CareSource Setting Facility Modifier None Typical Low $5.01 Median $5.01 Typical High $5.01 | Facility | None | $5.01 | $5.01 | $5.01 |
CareSource Setting Professional Modifier None Typical Low $5.01 Median $5.01 Typical High $5.01 | Professional | None | $5.01 | $5.01 | $5.01 |
Cigna Setting Facility Modifier None Typical Low $3.80 Median $3.80 Typical High $3.80 | Facility | None | $3.80 | $3.80 | $3.80 |
Cigna Setting Professional Modifier None Typical Low $2.45 Median $3.24 Typical High $4.17 | Professional | None | $2.45 | $3.24 | $4.17 |
Kaiser Permanente Setting Professional Modifier None Typical Low $4.17 Median $6.03 Typical High $194.98 | Professional | None | $4.17 | $6.03 | $194.98 |
United Setting Professional Modifier None Typical Low $1.95 Median $2.95 Typical High $6.92 | Professional | None | $1.95 | $2.95 | $6.92 |
2 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.54 Median $0.56 Typical High $0.71 | Professional | 55 · Aftercare only | $0.54 | $0.56 | $0.71 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.36 Median $0.37 Typical High $0.47 | Professional | 56 · Pre-op care only | $0.36 | $0.37 | $0.47 |
Where Georgia sits
The same service costs 3.2 times more in Kansas than in New Hampshire. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Georgia· 15th of 51
$4.68
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.